Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alfred Vaughn D Jackson, MD

Individual provider Family Medicine Physician · NPI 1891746707

Dr. Alfred Vaughn D Jackson, MD is a Family Medicine Physician in LA Jara, Colorado. Practices as a sole proprietor. Licensed in Colorado, New Mexico and Utah.

Licensed in
CO, NM, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

416 Main St
LA Jara, CO 81140-0272
Phone: (719) 274-4500
Fax: (719) 274-4504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 31351 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1823241205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 89132 (NM)

Record details

NPI number1891746707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2006
Last updated in NPPESNovember 13, 2013

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